The purpose of this research is to identify and prioritize the factors affecting the ambivalence of the organization in Moheb Kausar Hospital in Tehran. This research is descriptive-exploratory in terms of the practical purpose and method of conducting the present research, considering the purpose and nature of the subject and its executive ability. The statistical population in the qualitative section is 20 managers and supervisors of Moheb Kausar Hospital in Tehran. The statistical population in the quantitative part of this research is all the employees of Moheb Kotsar Hospital, whose number is estimated to be 465. The statistical sample in the qualitative department of the managers and supervisors of Moheb Kausar Hospital in Tehran is 16 people. According to Cochran's limited formula, the sample size of employees in the quantitative department will be equal to 210 people. Library studies were used to collect data, and field methods, interview tools, and questionnaires were used to collect data. Data collection in the qualitative section has been done using the Delphi method. The validity and reliability of the questionnaires have been confirmed, and according to the tstatistics and path coefficients, the research results show that the component of human resource flexibility and human resource management has the first priority, transformational leadership and high-performance work system have the second priority. and it is effective on the ambivalence of the organization in Moheb Kausar Hospital in Tehran.

Background & aim: The resistance economy is proposed for the first time by the Supreme Leader of the Islamic Republic of Iran and includes 24 clauses. Considering the general policies of the country and the upstream laws, it seems that the use of the model of resistance economy is associated with beneficial effects in the health sector. This study was conducted according to the leadership guidelines for conducting studies on resistance economics, economic problems and oppressive sanctions that have challenged the economics of hospitals and with the aim of designing an operational model for implementing resistance economics in hospitals of Shiraz University of Medical Sciences. Methods: The present descriptive-analytical study was conducted in 2019 in several stages at Shiraz University of Medical Sciences. The statistical population of the study consisted of 20 professors, officials, managers and experts aware of the economic issues of hospitals. The method was targeted sampling and snowball technique. The first stage was done by analyzing the current situation and interviewing, the second stage was done with the help of interview output, Delphi technique and questionnaire. Data were analyzed using fuzzy hierarchical analysis technique, confirmatory factor analysis and t-test. Results: According to the content analysis of the interviews, 34 components were identified in 6 areas of financing, management structure, cost management, human resources, supply chain and scientific research. After performing three rounds of Delphi, 25 components with a score above 0. 7 were approved and then the criteria were accepted using confirmatory factor analysis. Finally, in the structural load equation model, all criteria were greater than 0. 3 and also their related tstatistics were higher than 1. 96 and the proposed model was approved. Conclusion: To create a model of resilient economy in hospitals, the components of management structure, human resources, cost management, financial resources, supply chain and scientific research have priority. The components identified in this study can be a guide for policy makers and managers to overcome the economic problems of hospitals.